CHRISTOPHER'S KINGDOM INC. NPI 1578742490

NPI Information

NPI: 1578742490
Provider Name: CHRISTOPHER'S KINGDOM INC.
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
5703 BEACH WATER DR
#103
RALEIGH, NC
ZIP 27604
Phone: (919) 266-6969
Get Directions

CHRISTOPHER'S KINGDOM INC. is a residential treatment facility, intellectual and/or developmental disabilities in Raleigh, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. CHRISTOPHER'S KINGDOM INC. NPI is 1578742490. The provider is registered as an organization entity type.

The provider's business location address is:

5703 BEACH WATER DR
#103
RALEIGH, NC
ZIP 27604-712
Phone: (919) 266-6969
Fax: (919) 266-6969

The provider's authorized official is Cicley Renee Malone .
The authorized official title is Facility Director and has the following contact phone number (919) 522-9674.

The enumeration date for this NPI number is 10/26/2007 and was last updated on 12/27/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities			NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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